11.ㄧ位70歲男性病人,主訴為進行性呼吸困難、咳嗽、但痰不多,胸部X光片顯示兩側下肺葉浸潤,HRCT(high-resolution
CT)顯示主要變化為basilar and subpleural reticular opacities,traction bronchiectasis and honeycombing表現,最可能的診
斷為:
(A)usual interstitial pneumonia(UIP)
(B)nonspecific interstitial pneumonia(NSIP)
(C)cryptogenic organizing pneumonia
(D)aspiration pneumonia
統計: A(72), B(49), C(22), D(2), E(0) #1385518
詳解 (共 3 筆)
The term UIP is often used interchangeably with idiopathic pulmonary fibrosis (IPF)
亦即(A)usual interstitial pneumonia(UIP)= idiopathic pulmonary fibrosis (IPF)
Nonspecific interstitial pneumonitis – Nonspecific interstitial pneumonia (NSIP) is a type of idiopathic interstitial pneumonia(Idiopathic interstitial pneumonia,簡稱IIP) that is frequently in the differential diagnosis of IPF.
Characteristic features include diffuse ground glass opacities on high resolution computed tomography (HRCT), a reticular pattern, and traction bronchiectasis; honeycombing is generally absent(NSIP一般不會出現traction bronchiectasis; honeycombing).
特發性間質肺炎(Idiopathic interstitial pneumonia,簡稱IIP) https://www.uptodate.com/contents/clinical-manifestations-and-diagnosis-of-idiopathic-pulmonary-fibrosis?search=usual%20interstitial%20pneumonia&source=search_result&selectedTitle=3~50&usage_type=default&display_rank=3#H13566086